Limited Distribution Specialty Products Sample Clauses

Limited Distribution Specialty Products. If the Specialty Pharmaceutical is available solely from a Limited Distribution Pharmacy (“LDP”), LDP will determine if there are Assistance Payments available and/or secondary coverage, and/or whether the Member is eligible for such payments. If there are no Assistance Payments available, the Plan Benefit shall reflect the specific Copayment payable by the Member for the product. The Client shall pay the greater of (A) the actual price charged by the LDP; or (B) the Specialty Pharmacy Network rate set forth on Exhibit E.
Sample 1
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Limited Distribution Specialty Products. Certain Specialty Products may not be available at Aetna Specialty Pharmacy (ASRx) due to restricted or limited distribution requirements. These Specialty Products are referred to as Limited Distribution Specialty Products. Aetna has contracted with other network pharmacies to dispense Limited Distribution Specialty Products which are excluded from the pricing and terms contained in this Agreement. A copy of the current list of Limited Distribution Specialty Products may be obtained from Aetna upon request. MEDICAL SERVICES SCHEDULE MEDICAL SERVICES SCHEDULE MASTER SERVICES AGREEMENT XXX- 000000 EFFECTIVE January 1, 2017 Subject to the terms and conditions of the Agreement, the medical Services available from Aetna are described below. Unless otherwise agreed in writing, only the Services selected by the Customer in the Service and Fee Schedule (as modified by Aetna from time to time pursuant to section 4, Service Fees, of the Agreement) will be provided by Aetna. Additional Services may be provided at the Customer's written request under the terms of the Agreement. This Schedule shall supersede any previous document(s) describing the Services. Some programs are available to Plan Participants and other eligible employees as determined by Customer not otherwise covered under products provided under this Agreement ("Employee").
Sample 1

Related to Limited Distribution Specialty Products

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